Medical Biller

About this role

WHAT YOU’LL BE DOING

- You’ll contact payers for medical claims status, followup denials, or partial payments

- You’ll obtain payer requirements for timely adjudication of claims

- You’ll file claims with appropriate documentation attached

- You’ll pursue, maintain, and communicate medical coverage/guideline changes/updates to our internal team and/or customers

- You’ll process all incoming and outgoing correspondence as assigned

- You’ll verify, adjust, and update Accounts Receivable (A/R) according to correspondence received from insurance company

- You’ll help facilitate communication on error and denial trends

- You’ll initiate the review/appeals process on disputed claims

- You’ll maintain partnerships with Candid’s Strategy & Operations team regarding customer accounts and claim trends

- You’ll maintain HIPAA guidelines 

WHO YOU ARE

- You have at least 2 years of experience in revenue cycle management (for medical billing or within healthcare/healthtech)

- You have knowledge of CPT and ICD-10

- You have an investigative mindset and you are comfortable running down problems and suggesting actions based on data

- You are a self starter 

- You take pride in your craft and enjoy maintaining a high quality bar, but also believe that “done is better than perfect” and have good intuition around which corners are okay to cut and which aren’t

- You have excellent oral and written communication skills

- You have effective multitasking skills

- You have a positive and cooperative attitude in working and communicating with individuals at all levels of the organization

PAY TRANSPARENCY

The estimated starting annual salary range for this position is $20-$27 USD per hour. The listed range is a guideline from Pave https://www.pave.com/ data, and the actual base salary may be modified based on factors including job-related skills, experience/qualifications, interview performance, market data, etc.

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